The hypogastric nerves (one on each side) are the continuation of the superior hypogastric plexus that descend into the pelvis anterior to the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.

The hypogastric nerves begin where the superior hypogastric plexus splits into a right and left hypogastric nerves. The hypogastric nerves continue inferiorly on their corresponding side of the body, where they descends into the pelvis to form the inferior hypogastric plexuses.

The hypogastric nerves likely contain three nerve fibers types:

The hypogastric nerve may be blocked for a local anaesthetic. This endangers the nearby common iliac artery and common iliac vein.